Trauma-informed care: A qualitative study exploring the views and experiences of professionals in specialist health services for adults with intellectual disabilities

Maria Truesdale, Michael Brown, Laurence Taggart, Aoife Bradley, Douglas Paterson, Chammy Sirisena, Robert Walley, Thanos Karatzias

Research output: Contribution to journalArticle

Abstract

Background: Trauma and its sequelae is recognised as a major morbidity factor in people with intellectual disabilities, however, a lack of inquiry into how health care professionals address trauma in this adult population exists. Aims: To explore specialist intellectual disability practitioners perspectives on current health provision and developments to address trauma. Methods: Twenty-five qualitative interviews were conducted with practitioners across 6 health service areas in the UK. Data were analysed using thematic content analysis. Findings: Seven central themes emerged: (a) unmasked trauma; (b) trauma informed care; (c) person-centred care and support; (d) multi-disciplinary working; (e) reasonable adjustments; (f) barriers to treatment and (g) awareness, training and education. Conclusion: Trauma-informed care and multi-disciplinary working are essential components for future service development. Advances in the evidence-base for effective psychological interventions for PTSD and training and education of health care staff are needed in order to improve service provision amongst this population.

LanguageEnglish
JournalJournal of Applied Research in Intellectual Disabilities
Early online date6 Jun 2019
DOIs
Publication statusE-pub ahead of print - 6 Jun 2019

Fingerprint

Intellectual Disability
Health Services
trauma
health service
disability
Wounds and Injuries
experience
Catchment Area (Health)
health care
psychological intervention
Delivery of Health Care
Education
Social Adjustment
Disabled Persons
Post-Traumatic Stress Disorders
qualitative interview
morbidity
Population
content analysis
education

Keywords

  • intellectual disabilities
  • truama
  • Healthcare professionals
  • Qualitative
  • trauma
  • qualitative
  • health care professionals

Cite this

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title = "Trauma-informed care: A qualitative study exploring the views and experiences of professionals in specialist health services for adults with intellectual disabilities",
abstract = "Background: Trauma and its sequelae is recognised as a major morbidity factor in people with intellectual disabilities, however, a lack of inquiry into how health care professionals address trauma in this adult population exists. Aims: To explore specialist intellectual disability practitioners perspectives on current health provision and developments to address trauma. Methods: Twenty-five qualitative interviews were conducted with practitioners across 6 health service areas in the UK. Data were analysed using thematic content analysis. Findings: Seven central themes emerged: (a) unmasked trauma; (b) trauma informed care; (c) person-centred care and support; (d) multi-disciplinary working; (e) reasonable adjustments; (f) barriers to treatment and (g) awareness, training and education. Conclusion: Trauma-informed care and multi-disciplinary working are essential components for future service development. Advances in the evidence-base for effective psychological interventions for PTSD and training and education of health care staff are needed in order to improve service provision amongst this population.",
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Trauma-informed care: A qualitative study exploring the views and experiences of professionals in specialist health services for adults with intellectual disabilities. / Truesdale, Maria ; Brown, Michael; Taggart, Laurence; Bradley, Aoife ; Paterson, Douglas ; Sirisena, Chammy; Walley, Robert ; Karatzias, Thanos.

In: Journal of Applied Research in Intellectual Disabilities, 06.06.2019.

Research output: Contribution to journalArticle

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AU - Truesdale, Maria

AU - Brown, Michael

AU - Taggart, Laurence

AU - Bradley, Aoife

AU - Paterson, Douglas

AU - Sirisena, Chammy

AU - Walley, Robert

AU - Karatzias, Thanos

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AB - Background: Trauma and its sequelae is recognised as a major morbidity factor in people with intellectual disabilities, however, a lack of inquiry into how health care professionals address trauma in this adult population exists. Aims: To explore specialist intellectual disability practitioners perspectives on current health provision and developments to address trauma. Methods: Twenty-five qualitative interviews were conducted with practitioners across 6 health service areas in the UK. Data were analysed using thematic content analysis. Findings: Seven central themes emerged: (a) unmasked trauma; (b) trauma informed care; (c) person-centred care and support; (d) multi-disciplinary working; (e) reasonable adjustments; (f) barriers to treatment and (g) awareness, training and education. Conclusion: Trauma-informed care and multi-disciplinary working are essential components for future service development. Advances in the evidence-base for effective psychological interventions for PTSD and training and education of health care staff are needed in order to improve service provision amongst this population.

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